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General NPI Number Information
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NPI Number | 1982135539
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Entity Type | Individual
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Provider Name | DR. KELLY C MEAD
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Gender | Female
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Dates
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Enumeration Date | 03/24/2017
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 250 HOSPITAL PL
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City | SOLDOTNA
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State | AK
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Zip | 99669-7559
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Country | US
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Telephone | 907-714-4404
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Fax |
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Provider Business Mailing Address
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Address Line | 727 O ST APT 2
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City | ANCHORAGE
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State | AK
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Zip | 99501-3277
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Country | US
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Telephone | 720-289-2365
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD18431
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | DR0065430
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 215693
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License Number State | AK
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